- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.27 / $22.68 / $26.02
| Facility | | $21.27 | $22.68 | $26.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.79 / $22.70 / $28.88
| Professional | | $19.79 | $22.70 | $28.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $27.94 / $47.74
| Professional | | $26.92 | $27.94 | $47.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.97 / $38.97 / $38.97
| Facility | | $38.97 | $38.97 | $38.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $25.37 / $47.75
| Professional | | $18.00 | $25.37 | $47.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.00 / $36.84 / $55.14
| Professional | | $26.00 | $36.84 | $55.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $26.02 / $107.36
| Professional | | $19.05 | $26.02 | $107.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.27 / $22.68 / $26.02
| Facility | | $21.27 | $22.68 | $26.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $24.61 / $68.31
| Professional | | $20.07 | $24.61 | $68.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.22 / $23.19 / $30.48
| Professional | | $19.22 | $23.19 | $30.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.30 / $22.12 / $29.87
| Professional | | $18.30 | $22.12 | $29.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.97 / $38.97 / $38.97
| Facility | | $38.97 | $38.97 | $38.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.89 / $24.88 / $52.15
| Professional | | $17.89 | $24.88 | $52.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.16 / $24.00 / $28.17
| Facility | | $21.16 | $24.00 | $28.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.16 / $23.94 / $25.58
| Professional | | $21.16 | $23.94 | $25.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.52 / $25.61 / $46.48
| Professional | | $19.52 | $25.61 | $46.48 |